title: Reduced port laparoscopic splenectomy using a newly developed multichannel port: a pilot study.
abstract: BACKGROUND
  The authors introduce the dual-incision laparoscopic splenectomy (DILS) technique using a specially designed multichannel trocar and report on the surgical outcomes and operative cost of DILS compared with conventional laparoscopic splenectomy (CLS).
  
  
  METHODS
  The medical records of 53 patients who underwent a laparoscopic splenectomy using CLS with four trocars and DILS at our institution were analyzed.
  
  
  RESULTS
  There was no statistical difference in operative time between the two groups and the intraoperative transfusion rate of red blood cell substitution was not different between the two groups. In terms of postoperative pain score, hospital stay, and overall complication rate, there were no differences between the two groups. Operative cost was significantly lower in the DILS group compared with the CLS group.
  
  
  CONCLUSIONS
  DILS is a feasible and cost-effective modality of reduced port surgery in laparoscopic splenectomy.
authors.affiliation: Department of Surgery, Seoul St.Mary's Hospital, College of Medicine, The Catholic University of Korea , Seoul , Korea.
authors.forename: Jae Hyun
authors.initials: JH
authors.lastname: Han
authors.forename: Gun Hyung
authors.initials: GH
authors.lastname: Na
authors.forename: Ho Joong
authors.initials: HJ
authors.lastname: Choi
authors.forename: Tae Ho
authors.initials: TH
authors.lastname: Hong
authors.forename: Young Kyoung
authors.initials: YK
authors.lastname: You
authors.forename: Dong Goo
authors.initials: DG
authors.lastname: Kim
mesh_terms: D000328:Adult; D000368:Aged; D003362:Cost-Benefit Analysis; D017707:Erythrocyte Transfusion / Q000706:statistics & numerical data; D005240:Feasibility Studies; D005260:Female; D017048:Health Care Costs; D006801:Humans; D010535:Laparoscopy / Q000191:economics / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D010149:Postoperative Pain / Q000453:epidemiology*; D010865:Pilot Projects; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D013156:Splenectomy / Q000191:economics / Q000379:methods*